Provider Demographics
NPI:1043062722
Name:HOFFECKER, GLENDA (PHARMD)
Entity type:Individual
Prefix:
First Name:GLENDA
Middle Name:
Last Name:HOFFECKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:GLENDA
Other - Middle Name:
Other - Last Name:HURFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:283 MARTINS CORNER RD
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1076
Mailing Address - Country:US
Mailing Address - Phone:808-333-8710
Mailing Address - Fax:
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4238
Practice Address - Country:US
Practice Address - Phone:215-662-2070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439472183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist